Publications by authors named "PATEL R"

The discipline of 3D cell modeling is currently undergoing a surge of captivating developments that are enhancing the realism and utility of tissue simulations. Using bioinks which represent cells, scaffolds, and growth factors scientists can construct intricate tissue architectures layer by layer using innovations like 3D bioprinting. Drug testing can be accelerated and organ functions more precisely replicated owing to the precise control that microfluidic technologies and organ-on-chip devices offer over the cellular environment.

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Objectives: Out of Hospital Cardiac Arrest (OHCA) is a frequently encountered pathology with resultant poor outcomes in the majority of patients. Echocardiography has been utilized to help guide clinical decision making and monitor effectiveness of resuscitative efforts. Transthoracic echocardiography (TTE) the mainstay of point-of-care ultrasound (POCUS) real time resuscitative imaging has limitations, most notably is the disruption of closed chest compressions.

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  • - Immune-checkpoint inhibitors (ICIs) have significantly improved treatment for advanced head and neck squamous cell carcinomas (HNSCCs), with 48% of patients experiencing immune-related adverse events (irAEs) like hypothyroidism, dermatitis, and hepatitis.
  • - Women had a higher incidence of irAEs, and these events led to treatment interruptions in 43% of affected patients.
  • - Patients who developed irAEs showed better treatment responses, with a 68% objective response rate compared to 39% in those without irAEs, and re-treatment after irAEs was feasible, yielding positive responses in a notable proportion of selected patients.
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Purpose: The Area Deprivation Index (ADI) is a quantitative measurement of neighborhood socioeconomic disadvantage used to identify high-risk communities. The distribution of physicians with respect to ADI can indicate decreased healthcare access in deprived neighborhoods. This study applies ADI to the distribution of ophthalmologists and demonstrates how practice patterns in the national Medicare Part D program may vary with ADI.

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  • Regulatory proteins use specific repressor domains (RDs) to control gene expression, but how variations in their sequences affect this function is not well understood.
  • Researchers created a dataset from 115,000 variant sequences to study repressor activity in human cells, identifying clinical variants that alter repression functions, including those linked to certain genetic disorders.
  • They developed a deep learning model called TENet to predict repressor activity based on sequence and structure, aiming to enhance the design of synthetic regulatory proteins and improve how we prioritize functional variants in future research.
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Aims: To identify and understand the different approaches to local consensus discussions that have been used to implement perioperative pathways for common elective surgeries.

Design: Systematic review.

Data Sources: Five databases (MEDLINE, CINAHL, EMBASE, Web of Science and the Cochrane Library) were searched electronically for literature published between 1 January 2000 and 6 April 2023.

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  • A study analyzed data from over 10,000 patients with acute coronary syndrome (ACS) from 2010 to 2017 to explore the impact of reduced kidney function (eGFR) on treatment and mortality rates.
  • It found that lower eGFR levels were strongly linked to a decrease in invasive treatments like coronary angiography; patients with eGFR <30 were significantly less likely to receive these procedures compared to those with higher eGFR.
  • Additionally, there was a clear connection between lower eGFR and higher 30-day mortality rates, indicating that kidney function plays a critical role in treatment outcomes for ACS patients.
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  • The study compared two types of knee surgery: robotic-assisted surgery and regular (conventional) surgery, to see how well they worked in the short and long term.
  • They looked at several studies and found that the robotic method was better for mechanical alignment and some pain scores, but the regular method allowed for better bending of the knee over time.
  • Overall, the robotic surgery had some advantages, but in terms of bending the knee, the regular surgery was better.
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In the quest to harness renewable energy sources for green hydrogen production, alkaline water electrolysis has emerged as a pivotal technology. Enhancing the reaction rates of overall water electrolysis and streamlining electrode manufacturing necessitate the development of bifunctional and cost-effective electrocatalysts. With this aim, a complex compound electrocatalyst in the form of cobalt-sulfo-boride (Co-S-B) was fabricated using a simple chemical reduction method and tested for overall alkaline water electrolysis.

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A Lewis acid-mediated, 5/6/7/8- reductive hydroalkoxylation cascade on enynols gives expeditious, diastereoselective access to small and medium ring cyclic ethers with a long aliphatic side chain. The brevity of the approach allowed a 4-step, stereoselective total synthesis of (±)-isolaurepan and (±)--lauthisan.

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  • Long COVID is a condition that can cause many symptoms after someone has COVID-19 and can make people feel really sick.
  • Some scientists think that parts of the COVID-19 virus might stop the body from making serotonin, a chemical that helps regulate mood, and this could lead to Long COVID symptoms.
  • A study found that people who took a type of medicine called SSRIs, which help boost serotonin levels, had a lower chance of developing Long COVID compared to those who didn't take these medicines.
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  • The global population is ageing rapidly, and while people are living longer, they are not necessarily enjoying good health during those extra years, facing increased disabilities and chronic conditions.
  • In response, the UN and WHO have designated 2021-2030 as the Decade of Healthy Ageing to promote healthier, longer lives through collaborative efforts.
  • The review highlights the WHO's public health framework for healthy ageing, focusing on global trends and policies, particularly in the UK, and proposes an integrated model to address oral health within the context of healthy ageing.
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  • * The review analyzed 33,737 publications, ultimately including 205 studies that explored various strategies to limit emissions in healthcare, with a focus on clinical practices, governance, waste management, and decarbonization efforts.
  • * Key findings highlighted nine themes for emission reduction efforts, including changes in surgical practices, policy enactment, waste management, and minimizing transportation, among others.
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Drug-resistant tuberculosis (DR-TB) represents a pressing global health issue, leading to heightened morbidity and mortality. Despite extensive research efforts, the escalation of DR-TB cases underscores the urgent need for enhanced prevention, diagnosis, and treatment strategies. This review delves deep into the molecular and genetic origins of different types of DR-TB, highlighting recent breakthroughs in detection and diagnosis, including Rapid Diagnostic Tests like Xpert Ultra, Whole Genome Sequencing, and AI-based tools along with latest viewpoints on diagnosis and treatment of DR-TB utilizing newer and repurposed drug molecules.

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Previous research has reported high occult nodal metastases rates for T3/T4 mucoepidermoid carcinoma (MEC) of the oropharynx (OP) and oral cavity (OC). Our study evaluates if there is a benefit of neck dissection (ND) in these patients. The 2004-2016 National Cancer Database was queried for cases of adult MEC of the OC and OP.

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  • The guideline outlines best practices for diagnosing and managing anogenital herpes in adults in the UK.
  • It covers topics such as treatment for the initial outbreak, handling recurrences, and effective therapy options.
  • The document also emphasizes the importance of prevention strategies and providing supportive, patient-centered counseling.
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  • Hereditary angioedema (HAE) is a rare condition that causes swelling and can lead to serious issues like breathing problems and blood clots.
  • A 34-year-old woman who had HAE was pregnant and had pain and swelling in her arm after getting a special IV line for treatment, which was found to have caused a blood clot.
  • The doctors successfully treated her by removing the IV line and using a different method for her medication, showing that it's safer to use regular IVs instead of special ones for pregnant women with HAE.
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Leptomeningeal carcinomatosis (LMC) is a rare and fatal complication associated with various solid tumors and hematological malignancies. It presents significant diagnostic challenges due to its nonspecific symptoms and complex clinical course. This case report details the presentation, diagnosis, and implications of LMC in a 33-year-old male with a history of colorectal cancer (CRC) and hemicolectomy.

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Objectives: To evaluate the effectiveness of COVID-19 vaccinations (initial and booster) during pre-Delta, Delta, and Omicron dominant periods among pregnant people via (1) COVID-19 incident and severe infections among pregnant people who were vaccinated vs. unvaccinated and (2) post-COVID-19 vaccination breakthrough infections and severe infections among vaccinated females who were pregnant vs. non-pregnant.

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  • This study evaluated the effectiveness and safety of a new procedure called splanchnic nerve ablation for managing fluid volume in patients with heart failure and preserved ejection fraction (HFpEF).* -
  • Conducted as a phase 2, double-blind, randomized trial involving 90 patients across 15 centers, the study compared the outcomes of the nerve ablation procedure to a sham control.* -
  • Results showed no significant differences in both the primary outcomes (reduction in pulmonary capillary wedge pressure) and safety events between the treatment and control groups, suggesting that the nerve ablation may not provide the expected benefits for these patients.*
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Social deficits represent a core symptom domain of autism spectrum disorder (ASD), which is often comorbid with sleep disturbances. In this issue of the JCI, Sun et al. explored a medial septum (MS) circuit linking these behaviors in a neuroligin 3 conditional knockout model of autism.

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  • The updated UK guidelines provide management recommendations for genital herpes simplex virus (HSV) during pregnancy and the first month after birth, addressing both first episodes and recurrences of HSV.
  • They also cover scenarios such as preterm pre-labour rupture of membranes and co-infection with HIV, with specific advice on caring for newborns and preventing postnatal transmission.
  • Aimed at healthcare professionals in various settings, including sexual health and maternity units, these guidelines emphasize that their principles should be applied to all care environments, including community services.
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  • - Patients with heart failure and preserved ejection fraction (HFpEF) who have an ejection fraction of 60% or higher have limited treatment options, making the study of new treatments important.
  • - The EMBARK-HFpEF trial tested a drug called mavacamten on 30 patients with symptomatic HFpEF over 26 weeks, measuring outcomes such as NTproBNP and troponin levels to evaluate efficacy and safety.
  • - Results showed significant reductions in NTproBNP and troponin levels, indicating potential benefits of mavacamten for these patients, although biomarker levels returned toward baseline after the drug was stopped.
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